National Provider Identifier Database

RADY CHILDRENS HOSPITAL SAN DIEGO
Children

Contact Information

RADY CHILDREN'S HOSPITAL SAN DIEGO
3020 CHILDRENS WAY # 5002
SAN DIEGO, CA  92123-4223
Phone: 858-576-1700
Fax: 858-966-4051
Website:
Specialty Taxonomy Code
* Children 282NC2000X
Adolescent and Children Mental Health 261QM0855X
Clinic/Center 261Q00000X
Developmental Disabilities 261QD1600X
End-Stage Renal Disease (ESRD) Treatment 261QE0700X
Hearing and Speech 261QH0700X
Physical Therapy 261QP2000X
Prevention Professional 405300000X
Rehabilitation 261QR0400X

* Indicates primary specialty

NPI Profile & details for RADY CHILDREN'S HOSPITAL SAN DIEGO

NPI Number 1710065933
Legal business name
LBN		 RADY CHILDREN'S HOSPITAL SAN DIEGO
Authorized official MICHAEL HESTER - (SR. DIRECTOR, REVENUE CYCLE APPLIC)
Entity Organization
Organization subpart No
Enumeration date 11/02/2006
Last updated 01/23/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 080000028
  • CA Medicaid: CGP000355
  • CA Medicaid: CGP165365
  • CA Medicaid: HSC30271F
  • CA Medicaid: ZZT30271F
  • CA Medicaid: ZZT40271F
  • HI Medicaid: 53125301
  • CA Other: 053303 BLUE CROSS OF CALIFORNIA
  • CA Other: ZZZH3702Z BLUE SHIELD OF CA
  • CA Other: 053303 GIC INDEMNITY PLAN
  • CA Other: 053303 PINNACLE CLAIMS MANAGEMENT
  • CA Other: 053303 WESTERN GROWERS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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